Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $70.79 / $83.18	Professional		$30.90	$70.79	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $81.28 / $102.33	Professional		$38.02	$81.28	$102.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $281.84	Professional		$85.11	$194.98	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $85.11	Professional		$25.12	$37.15	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $85.11	Professional		$63.10	$69.18	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $741.31	Professional		$478.63	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $77.62 / $97.72	Facility		$41.69	$77.62	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $72.44	Professional		$37.15	$37.15	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $69.18	Professional		$29.51	$37.15	$69.18